RECENT ADVANCES IN SURGERY…

ROBOTICS IN GENERAL SURGERY

DR. SHALIN DUBEY

CONSULTANT ROBOTIC & LAPAROSCOPIC SURGEON
APOLLO HOSPITAL, NAVI MUMBAI
THIS IS NEW ERA….

• Smart phones
• Smart watches
• Smart cars
• Smart TV……………

WHY NOT SMART SURGERY

This is technology for near future
SEE THE DIFFERENCE….
AND NOW THIS ….. ROBOTIC HERNIA
DA VINCI® SURGERY: HOW DOES IT
WORK?

5
 3cm 1cm

High Definition 3D Vision Precision & Dexterity Intuitive® Motion

 Surgeon-controlled  Mimics surgeon’s hands  Advanced software
 Stable and immersive view  Scales down movements enables intuitive control
 Up to 10x zoom  With tremor filtration (instead of cross-handed)
PATIENT CART
SURGEON CONSOLE
SOME IMPORTANT TIPS

• DOCKING THE ROBOT

• PATIENT POSITION CANNOT BE CHANGED AFTER DOCKING
• SWEET SPOT
• PATIENT ARMS POSITION
• ROBOTIC ARMS POSITION
• ASSISTANT PORT POSITION
• CAMERA 30 UP OR DOWN
ROBOTIC RE RECURRENT INGUINAL HERNIA
HOW DOES IT WORK
WHAT ARE BENEFITS OVER LAPAROSCOPIC
SURGERY
• Three dimensional image /3D

• Wide range of movements / ARTICULATED INSTRUMENTS

• Good ergonomics position
• Improved dexterity / TREMOR FILTER
• Less blood loss(important in cancer surgery)
• Less chances of conversion to open surgery
 Colectomy Incisions

POTENTIAL PATIENT BENEFITS

DA VINCI® COLECTOMY Open Surgery
da Vinci Surgery or
Traditional Lap Surgery

da Vinci Colectomy
Potential Patient Benefits of
Potential Patient Benefits
da Vinci Colectomy
• Precise removal of cancerous tissue1
• Low blood loss1,2
• Low rate of complications1,2,3
• Quick return of bowel function & normal diet2,3
• Lower conversion rate to open surgery2,3
• Short hospital stay1,2,3
• Small incisions for minimal scarring

1. Patel CB, et al. A three-arm (laparoscopic, hand-assisted, and robotic) matched-case analysis of intraoperative and postoperative outcomes in minimally invasive
colorectal surgery. Dis Colon Rectum. 2011 Feb;54(2):144-50. 2. D'Annibale A, et al. Robotic and laparoscopic surgery for treatment of colorectal diseases. Dis
Colon Rectum. 2004 Dec;47(12):2162-8. 3. Spinoglio G, et al. Robotic colorectal surgery: first 50 cases experience. Dis Colon Rectum. 2008 Nov;51(11):1627-32.
16
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SOME RARE CASES

• Spigelian hernia
• Parastomal hernia
ROBOTIC SPIGELION HERNIA
ROBOTIC SURGERY IS THE FUTURE

• Cost
• Increased time of surgery
 PREMIER CLINIC
CENTRE FOR ROBOTICS & LASER SURGERY

Shanti Centre,1st floor, office no -4 ,sector 17,Vashi

For Appointment Call: 9920853204